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Augmented Reality in Global Healthcare Delivery & Training
Session 158, February 13
th
, 2019
Nadine Hachach-Haram BEM, Surgeon & Entrepreneur
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I am the co-founder of Proximie.
Conflict of Interest
Proximie 2018 Confidential
Reconstructive Surgeon
Co-Founder of Proximie
Queen’s Honouree for Innovation in Healthcare
TED | TEDx Speaker
Faculty at Exponential Medicine
Faculty at Singularity University
Innovation Fellow GSTT
UCL Honorary Lecturer
NHS Clinical Entrepreneur
RCSENG Future of Surgery
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• Challenge of surgical delivery and training
• Technology landscape and where they all fit
• Examples of technology in use
Agenda
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• Define the use of augmented reality in global
healthcare delivery and training
• Demonstrate the use of augmented reality in global
healthcare delivery and training
• Evaluate the potential benefits of using augmented
reality in global healthcare delivery and training
• Identify potential barriers to using augmented reality
in healthcare and discuss ways to overcome these
• Compare the use of augmented reality between high
and low-income countries
Learning Objectives
THE FUTURE OF HEALTHCARE
Localized access to all
surgical specialties & services
Surgical procedures &
technology driven by medical
device
Expertise and outcomes
Access
Quality
Innovation
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“A shift to the centralization of services”
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Quantifying Geographic Variation in Health Care Outcomes in the United States before and after Risk-Adjustment
Rosenberg BL, Kellar JA, Labno A, Matheson DHM, Ringel M, et al. (2016) Quantifying Geographic Variation in Health Care Outcomes in the
United States before and after Risk-Adjustment. PLOS ONE 11(12): e0166762. https://doi.org/10.1371/journal.pone.0166762
https://outcomes.bcg.com/#/
Quantifying Geographic Variation in Health Care Outcomes in the United States before and after Risk-Adjustment
Rosenberg BL, Kellar JA, Labno A, Matheson DHM, Ringel M, et al. (2016) Quantifying Geographic Variation in Health Care Outcomes in the
United States before and after Risk-Adjustment. PLOS ONE 11(12): e0166762. https://doi.org/10.1371/journal.pone.0166762
https://outcomes.bcg.com/#/
“A paradigm shift in healthcare is required in
order to meet these growing demands”
SAGES
Society of American Gastrointestinal & Endoscopic Surgeons
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• Teamwork
• Collaboration
• Coaching
• Accepting we can
always improve
Surgical Coaching for Individual Performance Improvement
Greenberg, Caprice C. MD, MPH
*,†
; Ghousseini, Hala N. PhD
‡
; Pavuluri Quamme, Sudha R. MD, MS
*
; Beasley, Heather L. BA
*
; Wiegmann, Douglas A. PhD
*,†
Annals of Surgery: January 2015 - Volume 261 - Issue 1 - p 32–34
doi: 10.1097/SLA.0000000000000776
Professional Coaching in Surgery: An Effort to Improve Practice and Patient Care. Chopra, Nitin et al. Journal of the American College of Surgeons , Volume 225 , Issue 4 , S89
IoT
Big Data
Robotics
AR
Wearables
VR
Technologies Disrupting Healthcare
“Real-world
environment
supplemented with
computer-generated
sensory input; different
from virtual reality.”
AR/MR in Healthcare
www.proximie.com
Affordable
Accessible
Simple
Safe & Secure
User generating content vs
high cost VR content
Ability to create and connect a
network of experts who
collaborate easily to improve
patient care
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Intraoperative
Postoperative
Preoperative
AUGEMENTED REALITY
& REALTIME
COLLABORATION
(Proximie)
REFECTIVE LEARNING &
COLLABORATIVE REVIEW
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VR, SIMULATION, & VIDEO
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1.
Costly to scale and incorporate all the variations in surgery
(VR most, VIDEO least)
2.
Self generating content (TripAdvisor model)
3.
Ability to review your performance post operatively solo or with a colleague
COPYRIGHT- MAVERICK PRODUCTIONS
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Patented AR technology brings expertise from
anywhere directly into any acute care setting
Accessible - Low Bandwidth
Affordable - Hardware Neutral
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LIVE
LIBRARY
EXPERTNOVICE
Three stage process
Digital footprint of all interactions
Data Capture
&
Creation of high quality library
PREPARE
Live broadcast of expert cases
PERFORM
Remote proctoring by expert
Build up recording of your cases
PERFECT
Collaborative review
Assessment & accreditation
Proximie 2019 Private & Confidential – DO NOT DISTRIBUTE
• Teamwork
• Collaboration
• Coaching
• Accepting we can
always improve
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Welcome your questions
@proximieAR or @DrNadz
info@proximie.com
@proximieAR
proximie.com
Connect with me:-
PLEASE FILL THE FEEDBACK FORM
It’s been known that hospitals vary in quality, but it
hadn’t been recognized exactly how large the variation is
between high performing and low performing hospitals,”
said author Atul Gawande, MD, MPH,
Quantifying Geographic Variation in Health Care Outcomes in the United States before and after Risk-Adjustment
Rosenberg BL, Kellar JA, Labno A, Matheson DHM, Ringel M, et al. (2016) Quantifying Geographic Variation in Health Care
Outcomes in the United States before and after Risk-Adjustment. PLOS ONE 11(12):
e0166762. https://doi.org/10.1371/journal.pone.0166762
• Best Start-up: Wearables 2017 awards
• Selected for Dubai Government’s Future Accelerators
programme
• Best Augmented Reality Technology: TechXSLR8 2017 Award
• Arabian Business Start-up of the Year 2017
• TED Woman Speaker 2017
• MIT Enterprise Forum & Tech Wadi Prize for best Startup, 1st
Prize, Silicon Valley
• Queen’s Birthday Honour, British Empire Medal
• Boston Scientific Start-up Prize, 2018
• Selected to work with the UK Ministry of Defence
• Foreign Press Agency "Science Story of the Year" 2016
• Royal Society of Medicine UK, innovation & eHealth
award, 1st Prize,
• Exponential Medicine Faculty 2017
Proximie 2018 Confidential